MEDICARE: DR. BRANDON MICHAEL PRIEBE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	7073264-9922	UT

General Provider Information

NPI Number	:	1427213594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDON MICHAEL PRIEBE DDS

Provider Business Mailing Address
First Line	:	1392 E 1900 N
Second Line	:
City	:	LOGAN
State	:	UT
Zip	:	84341-2022
Country	:	US
Telephone Number	:	206-218-5676
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 HIGHWAY 91
Second Line	:
City	:	RICHMOND
State	:	UT
Zip	:	84333-1278
Country	:	US
Telephone Number	:	435-258-2301
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2008
Last Update Date	:	07/28/2008

Similar Medicare Providers

1134237670 — CHERRY CREEK DENTAL
Practice Location Address:

105 S 200 W
RICHMOND, UT
84333-1278

Practice Phone: 435-258-2301
Practice Fax: 435-258-5521

1487736443 — MONTE CARLSON DDS
Practice Location Address:

105 S 200 W
RICHMOND, UT
84333-1278

Practice Phone: 435-258-2578
Practice Fax:

1669554580 — ANTHONY LARSON
Practice Location Address:

105 S 200 W
RICHMOND, UT
84333-1278

Practice Phone: 435-258-2301
Practice Fax:

1639730617 — KYLE SPACKMAN DDS
Practice Location Address:

105 S 200 W
RICHMOND, UT
84333-1278

Practice Phone: 435-258-2301
Practice Fax:

1235307976 — MR. WILLIAM M. GRISE PHARM D
Practice Location Address:

1278 MILLER DR
RICHMOND, KY
40475-3022

Practice Phone: 859-624-1843
Practice Fax:

1346342110 — MR. SHARIK L PECK PT
Practice Location Address:

405 S 200 W
RICHMOND, UT
84333-1267

Practice Phone: 435-258-5601
Practice Fax: 435-258-4545

Directions to “ DR. BRANDON MICHAEL PRIEBE DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.